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Individual

DR. ANGELA J GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3900 FOUNTAIN SQUARE PL, WAUKEGAN, IL 60085-6708
(847) 473-2487
(847) 473-2490
Mailing address
23769 N SANCTUARY CLUB DR, KILDEER, IL 60047-8627

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299032
IL
183500000X
Pharmacist
50204
TX
183500000X
Pharmacist
RP440701
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051299032
PHARMACIST LICENSE
IL
Enumeration date
02/06/2020
Last updated
02/06/2020
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